CLIFTON ETIENNE (MD) – Family Medicine Physician, NPI 1245425289

CLIFTON ETIENNE (MD) is a healthcare provider. based in Westminster, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 45991 (CO). The NPI Number for CLIFTON ETIENNE (MD) is 1245425289

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
CLIFTON ETIENNE (MD)
NPI
1245425289
Phone
(303) 457-4497
Address
12201 PECOS ST
Enumeration Date
12 September 2007
Last Update Date
23 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034574497
Graduation Year
2002 (24 years ago)
PAC ID
1951496181
Group Practice PAC ID
3678464740
Professional Enrollment ID
I20071003000596
Address ID
CO802343995WE12201STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

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Provider Addresses for CLIFTON ETIENNE (MD)

  • 12201, North Pecos Street, Westminster, Adams County, Colorado, 80234, United States

    SUITE 500

    WESTMINSTER, CO 802343888

    Phone: (303) 457-4497

    Fax: (303) 540-4692

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071003000596IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13555$0
99213Established patient office or other outpatient visit, 20-29 minutes7840$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
99215Established patient office or other outpatient visit, 40-54 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 80234)

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Provider's Procedures

CLIFTON ETIENNE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECO90670Pneumococcal vaccine for injection into muscle2020

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678464740View full group profile
NameSpecialtyState
Family PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

How is CLIFTON ETIENNE (MD) identified in CMS data?
CMS-hosted NPPES data lists CLIFTON ETIENNE (MD) with NPI 1245425289.
Does the file indicate CLIFTON ETIENNE (MD) is practicing under active NPI?
Directory data currently reports CLIFTON ETIENNE (MD) as active.
What taxonomy line describes CLIFTON ETIENNE (MD)?
For research purposes, treat CLIFTON ETIENNE (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CLIFTON ETIENNE (MD) on a map?
Expect Westminster, Colorado as a primary anchor for CLIFTON ETIENNE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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